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Efektivitas Edukasi Pencegahan Stunting dan Penerapan Praktik Pemberian Makan Pada Anak di Kelurahan Tandang Anggraheny, Hema Dewi; Sari, Candra Meilyana Puspita
PROSIDING SEMINAR KESEHATAN MASYARAKAT Vol 1 No Oktober (2023): Seminar (NiCe-PHResComS - 1)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/pskm.v1iOktober.268

Abstract

Latar Belakang: Permasalahan stunting dan gizi kurang masih menjadi fokus permasalahan di Indonesia khususnya di Kota Semarang. Data pada Februari 2023 menyebutkan terdapat 26 balita stunting, dan 40 underweight di wilayah Puskesmas Kedungmundu. Faktor pengetahuan ibu dan praktik pemberian makan yang kurang tepat menjadi faktor risiko yang mempengaruhi kondisi gizi anak. Tujuan kegiatan melakukan edukasi pencegahan stunting dan praktik pemberian makan anak serta menilai efektivitasnya. Metode: Merupakan kegiatan pengabdian yang berbasis penelitian quasi eksperimental dengan pre and post-test group design untuk menilai efektivitas kegiatan. Lokasi kegiatan di Kelurahan Tandang, pada Maret 2023. Sampel yakni ibu yang memiliki balita stunting dan underweight, sebanyak 24 ibu. Bentuk pengabdian yang dilakukan yaitu pemberian edukasi menggunakan video terkait pencegahan stunting dan praktik pemberian makan anak. Data pre dan post-test merupakan nilai hasil penilaian pengetahuan responden sebelum dan sesudah intervensi. Analisis data pre and post-test dengan t-test dependent. Hasil: Mayoritas ibu memiliki anak usia 2-3 tahun (33,3%), jenis kelamin anak perempuan (62,6%), pendidikan terakhir ibu SMP (45,8%), dan anak mengkonsumsi unhealthy snack >7 kali dalam seminggu (62,5%). Nilai rata-rata pre-test 69,23, sedangkan post-test 77,69. Terdapat perbedaan yang bermakna dari hasil pre dan post-test (p=0.033). Kesimpulan: Edukasi pencegahan stunting dan praktik pemberian makan anak yang dilakukan di Kelurahan Tandang dinilai efektif, dibuktikan dengan meningkatnya nilai pengetahuan ibu.
Household food security and WASH practices in children with undernutrition: a case study in low middle income area in Semarang, Indonesia Anggraheny, Hema Dewi; Setiawan, M. Riza; Widiasih, Esti; Dewi, Ernanda Candra
BKM Public Health and Community Medicine Vol 40 No 05 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i05.12356

Abstract

Purpose: This study analyzed the correlation between household food security (HFS) and WASH practices toward nutritional status in children with undernutrition. Methods: This type of research was analytically observational with a cross-sectional design. The sample in this study was 55 mothers with children with a history of undernutrition aged 6 to 23 months. The Rank Spearman test was conducted to analyze this study. Results: The prevalence of stunted and severely stunted was 34.55%, respectively; underweight and severely underweight were 36.36%, respectively; and wasted and severely wasted were 30.91 and 16.36% respectively. The percentage of respondents with mild, moderate, and severe food insecurity were 23.6, 7.3, and 12.7% respectively. The average value of WASH practices was rated as good among all respondents. Household food security score was associated with WAZ (p=0.008 and r=0.352) and HAZ (p=0.027 and r=0.299) but was not associated with WHZ (p=0.067; r=0.248). WASH practice was associated with WAZ (p=0.000; r=0.504), HAZ (p=0.000; r=0.455), and WHZ (p=0.000; r=0.334). Conclusion: There were still conditions of severe food insecurity and undernutrition problems that need the focus of attention. There is a need for monitoring by looking at certain aspects, such as HFS and WASH practices in reducing undernutrition.
ANALISIS FAKTOR IBU DAN BAYI YANG MEMPENGARUHI TINDAKAN SEKSIO SESAREA PADA PRIMIGRAVIDA DI RSJD DR AMINO GONDOHUTOMO PROVINSI JAWA TENGAH SALSABILA, FARRAS SYAHLA; HANDARIA, DIANA; ANGGRAHENY, HEMA DEWI
Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Vol. 7 No. 1 (2024): Al-Iqra Medical Journal: Jurnal Berkala Ilmiah Kedokteran
Publisher : Journal Medical Universitas muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26618/aimj.v7i1.10116

Abstract

Prevalensi seksio sesarea di RSJD Dr Amino Gondohutomo bulan Januari 2019 sebesar 51,82% sedangkan standar seksio sesarea di rumah sakit pemerintah sejumlah 20-25%. Seksio sesarea pada primigravida dipengaruhi oleh dua faktor yaitu faktor bayi serta ibu. Penelitian bertujuan memahami hubungan faktor ibu meliputi usia ibu, ketuban pecah dini, partus tak maju, partus lama, kelainan letak plasenta dan faktor bayi meliputi kelainan letak bayi terhadap tindakan seksio sesarea pada primigravida di RSJD Dr Amino Gondohutomo Provinsi Jawa Tengah.Penelitian dilaksanakan pada bulan September-Oktober 2021 menggunakan rancangan desain observasional analitik rancangan cross sectional pendekatan retrospektif sampel 355 orang dari total sampling . Pengambilan data pengisian data rekam medis bulan Januari 2020-2021 dan dianalisis menggunakan chi square serta regresi logistik.Hasil uji chi square diperoleh faktor yang berkaitan yakni ketuban pecah dini (ρ-value=0,000), bagian tak maju (ρ-value=0,000), serta kelainan letak bayi (ρ-value=0,000). Hasil uji multivariat didapatkan faktor yang paling signifikan yaitu ketuban pecah dini.Faktor risiko yang paling berhubungan dengan seksio sesarea pada primigravida adalah ketuban pecah dini.
Hubungan Antara Efikasi Diri Dengan Perilaku Self Management Pasien Hemodialisis Di RSD K.R.M.T. Wongsonegoro Kota Semarang Subianto, Nopri; Anggraini, Merry Tiyas; Anggraheny, Hema Dewi
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 5 (2025): Volume 12 Nomor 5
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i5.19281

Abstract

Penyakit ginjal kronis ialah kondisi yang tidak mampu disembuhkan sepenuhnya dan memerlukan pengobatan seperti hemodialisis. Terapi ini sering memicu komplikasi yang memengaruhi kondisi fisiologis dan psikologis pasien, hingga perilaku self-management yang baik begitu diperlukan. Suatu faktor yang memengaruhi self-management ialah efikasi diri, yang berperan krusial dalam mengubah perilaku guna mengendalikan penyakit. Studi ini bertujuan menganalisis hubungan efikasi diri dengan perilaku self-management pada pasien hemodialisis di RSD K.R.M.T. Wongsononegoro, Semarang. Studi memakai desain analitik observasional dengan metode cross-sectional. Teknik pengambilan sampel ialah total sampling dengan 50 responden. Hasil membuktikan 27 responden (54%) bertingkat efikasi diri sedang, dan 36 responden (72%) berperilaku self-management cukup baik. Uji Spearman membuktikan hubungan signifikan antara efikasi diri dan perilaku self-management (p=0,000) dengan kekuatan hubungan sedang serta arah positif (r=0,586). Efikasi diri yang tinggi berbanding lurus dengan peningkatan perilaku self-management.
Factors affecting physical activity in premarital women of childbearing age in Semarang City Anggraheny, Hema Dewi; Lahdji, Aisyah; Anggrainy, Merry Tiyas; Adila, Tessa Rahma
Berita Kedokteran Masyarakat Vol 41 No 12 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i12.21166

Abstract

Purpose: Physical activity is one of the pillars of implementing balanced nutrition, which is the foundation of healthy living, especially for women of childbearing age (WCA). This study analyzes the factors influencing physical activity in premarital WCA. Methods: This research employs a quantitative, cross-sectional design. The sample comprised 160 premarital women of childbearing age from 10 Semarang Health Centers across nine districts, and the study was conducted from November 2024 to January 2025. The tests conducted were the Mann-Whitney and Chi-square tests. Results: The prevalence of physical activity among premarital WCA included physical activity not adhering to the guidelines at 129 (80.6%) and those following the procedures at 31 (19.4%). The relationship between knowledge (p = 0.493), attitude (p = 0.980), education (p = 0.236), regular exercise patterns (p = 0.002), availability of facilities (p = 0.017), availability of transportation (p = 0.447), family support (p = 0.922), and friend support (p = 0.937) to physical activity was analyzed. Conclusion: Most WCA do not meet the physical activity standards according to the guidelines. The presence of a consistent exercise pattern and access to sports facilities are factors that influence meeting the physical activity standards in premarital women. Public health efforts should focus on facilitating regular exercise routines and improving access to safe, appropriate sports facilities for women.
Hubungan Riwayat Atopi Orang Tua dan Pemberian ASI Eksklusif Dengan Asma Bronkial Pada Anak Usia 5 - 14 Tahun Di RS Aisyiyah Kudus Muhammad Rijal Albar; Galuh Ramaningrum; Hema Dewi Anggraheny
Jurnal Ilmu Kedokteran dan Kesehatan Vol 13, No 5 (2026): Volume 13 Nomor 5
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v13i5.19791

Abstract

Asma merupakan penyakit pernapasan kronik yang sering ditemukan pada anak. Faktor genetik seperti riwayat atopi pada orang tua serta faktor awal kehidupan, termasuk praktik pemberian ASI, diketahui berperan dalam terjadinya asma pada anak. Penelitian ini bertujuan untuk mengetahui hubungan antara riwayat atopi pada orang tua dan riwayat pemberian ASI eksklusif dengan kejadian asma bronkial pada anak usia 5–14 tahun di Rumah Sakit Aisyiyah Kudus. Penelitian ini merupakan studi analitik observasional dengan desain kasus–kontrol yang dilakukan di Rumah Sakit Aisyiyah Kudus pada tahun 2023. Sebanyak 54 subjek dilibatkan, terdiri dari 27 anak dengan asma (kasus) dan 27 anak tanpa asma (kontrol). Data primer dan sekunder diperoleh melalui wawancara dengan responden serta penelusuran rekam medis. Analisis data dilakukan menggunakan uji bivariat dan regresi logistik multivariat. Hasil analisis didapatkan ada hubungan bermakna antara riwayat atopi orang tua dengan asma pada anak usia 5-14 tahun ( p value =0,000, OR = 20,125) dan ada hubungan bermakna antara riwayat ASI eksklusif dengan asma pada anak usia 5-14 tahun ( p value=0,001,OR = 6,786). Analisis multivariat riwayat atopi pada orang tua adalah faktor yang paling berpengaruh dengan asma pada anak (p value: 0,004, OR : 16,094). Riwayat atopi pada orang tua dan tidak mendapatkan ASI eksklusif secara signifikan meningkatkan risiko terjadinya asma pada anak. Temuan ini menegaskan pentingnya deteksi dini faktor risiko keluarga serta promosi pemberian ASI eksklusif sebagai upaya pencegahan asma pada anak.
Biskuit CERIA (Cangkang Telur Kombinasi Kurma dan Madu) sebagai Snack Alternatif untuk Meningkatkan Status Gizi Anak Hema Dewi Anggraheny; Aisyah Lahdji; Tri Kartika Setyarini; Ika Dyah Kurniati
Jurnal Surya Masyarakat Vol 6, No 1 (2023): November 2023
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jsm.6.1.2023.20-25

Abstract

Many studies state that most cases of malnourished children, such as stunting, experience a lack of calories and protein. So that one of the focuses is to improve the nutritional status of children, especially by making food preparations from ingredients that are high in calories and protein, and of course those that are of interest to children in terms of taste and shape. Egg shells are an alternative food ingredient that is rich in protein and calcium. In addition, dates and honey produce a natural sweet taste, and have high nutritional value. The purpose of this activity is to provide alternative snacks for children in the form of eggshell cookies, a combination of dates and honey. The method starting with making egg shell cookies a combination of dates and honey (Ceria), and determining the right recipe for these biscuits, in terms of taste and shape. Then tested the nutritional composition (calories, carbohydrates, protein, fat, sugar, and fiber). Furthermore, the cookies were distributed to partners, namely mothers who have children aged 6 months to 9 years and health cadres in the Kedungmundu Village, Semarang. The result for this research was Ceookies “Ceria” with the ingredients of eggshell flour, wheat flour, cornstarch, dates, honey, and egg yolks. The nutritional composition produced in 100 grams of cookies produces 511 kcal calories, 63,7 grams of carbohydrates, 0,83 grams of protein, 28,3 grams of fat, 49,5 grams of fiber, and 7 grams of sugar. Ceria cookies (egg shell combination of dates and honey) can be given as an alternative food supplement for children, with the appropriate nutritional composition and using natural ingredients without artificial sweeteners or preservatives.
Optimalisasi Kader Tim Pendamping Keluarga (TPK) dengan Peningkatan Pengetahuan terkait Stunting di Kabupaten Boyolali Wahyu Gito Putro; Hema Dewi Anggraheny; Merry Tiyas Anggraini; Endang Surani; Sri Mulyani; Vitri Widyaningsih; Ari Natalia Probandari
Jurnal Surya Masyarakat Vol 7, No 1 (2024): November 2024
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jsm.7.1.2024.168-172

Abstract

Stunting is still one of the priorities for a maternal and child health in Indonesia. The stunting prevalence rate in Boyolali Regency in 2023 reached 6,86%, relatively lower compared to the national level. However, the focus on handling stunting is still specifically for pregnant women and toddlers. There is a need to optimize the role of Family Support Team cadres to be able to supervise the prospective bride, as an effort to prevent stunting. This service was carried out in the Department of Population Control Service, Family Planning, Women’s Empowerment and Child Protection (DP2KBP3A) Boyolali Regency with a target of 20 family support team cadres’, who represent rom each sub-district in Boyolali Regency. The aim of this service was to increase cadres knowledge on stunting, including factors that cause stunting, pregnancy planning, and family assistance for prospective brides. The majority of cadres have completed high school education (70%), have been cadres for more than 10 years (60%), and have 1-3 jobs (60%). There was an increase in cadres’ knowledge before and after being given training (p<0,05). Result shows that activities carried out were the provision of training as an effort to complement the knowledge and understanding of family support team cadres, especially for prospective brides, was effective, demonstrated by an increase in cadres knowledge before and after training.